Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Callander
Address of Owner
280 Main St. North, P.O. Box 100, Callander, ON P0H 1H0
Name of Contractor
Miller Paving Limited
Address of Contractor
70 Couchie Industrial Rd., North Bay, ON P1B 8G5
Name of Certifier
Andrew Bird, C.Tech,. rcsi
Address of Certifier
Same as Owner

Office to which claim for lien must be given to preserve lien

Municipal Clerk, Municipality of Callander, 280 Main St. North, P.O. Box 100, Callander, ON P0H 1H0